title: [Microsurgical autografting for reconstruction of head and neck oncological defects. An analysis of 60 cases].
abstract: The authors analyzed results of the free flap transfer in surgery of head and neck. 60 operations were performed since October 2006 till May 2012. Indications for using them were reconstruction of the mucosa of the oral cavity and the pharynx in 48 cases, the extensive defects of skin and soft tissues of the head and neck in 12 cases. All cases except 2 had the initial reconstruction. First 18 operations were performed with the binocular loupes, followed by using operating microscope. During the operations 42 radial skin-fascia flaps, 10 anterolateral femoral flaps, 5 thoracodorsal flaps, 1 anteromedial femoral flap, 1 scapular skin bone flap and 1 jejunal flap were used. During the early postoperative period one of the patients died (postoperative lethality 1.7%). Necrosis of flaps took place in 6 cases (5 radial skin-fascia flaps, 1 thoracodorsal flap). The causes of failures were assessed as arterial thrombosis (1 case), venous thrombosis (2 cases), postoperative infection (1 case). The exact cause in 2 cases couldn't be determined. Thus, the total success in the given series of surgery was 88.9%.
authors.forename: A V
authors.initials: AV
authors.lastname: Karpenko
authors.forename: L D
authors.initials: LD
authors.lastname: Roman
authors.forename: R R
authors.initials: RR
authors.lastname: Sibgatullin
authors.forename: E N
authors.initials: EN
authors.lastname: Belova
authors.forename: N A
authors.initials: NA
authors.lastname: Evdokimova
authors.forename: D N
authors.initials: DN
authors.lastname: Dzhalilov
authors.forename: V G
authors.initials: VG
authors.lastname: Zolotykh
authors.forename: A A
authors.initials: AA
authors.lastname: Boĭko
mesh_terms: D000368:Aged; D005260:Female; D058752:Free Tissue Flaps / Q000098:blood supply / Q000706:statistics & numerical data; D006085:Graft Survival; D006258:Head and Neck Neoplasms / Q000145:classification / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000009:adverse effects / Q000379:methods; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000145:classification / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D012039:Regional Blood Flow; D012086:Reoperation / Q000379:methods / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000209:etiology / Q000601:surgery; D013927:Thrombosis / Q000209:etiology / Q000601:surgery; D014182:Transplantation, Autologous / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D016896:Treatment Outcome